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1629710835
CLARENCE BILL WALLACE
FONTANA, CA
NPI
1629710835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
CLARENCE BILL WALLACE
6949 DEW POINT WAY
FONTANA, CA 92336-1865
Phone number: 909-317-8499
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Mailing Address
CLARENCE BILL WALLACE
6949 DEW POINT WAY
FONTANA, CA 92336-1865
Phone number: 909-317-8499
Copy
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